Organization
ADVANCED CHIRORPACTIC CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L DEBOER DC (MANAGING MEMEBER)
(918) 664-3535
Entity
Organization
Contact information
Practice address
1322 E 15TH ST, TULSA, OK 74120-5804
(918) 664-3535
(918) 664-4323
Mailing address
PO BOX 521125, TULSA, OK 74152-1125
(918) 664-3535
(918) 664-4323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3654
OK
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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